SHELLEY S KIM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927172

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

Last Name

KIM

Suffix

Business Name

SHELLEY S KIM OD

Original Issue Date

05/31/2000

Effective Date

02/13/2004

Expiration Date

03/31/2006

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006